You have been the best source of information on my trigger points. All of the soft methods seem to help a bit. I try dry needling tomorrow. Very hopeful and excited.
Thank you for a thorough explanation! This explains the tight muscles in my neck, jaw, shoulders, and other areas of my body. I had myofascial release therapy for a few months (years ago), and it drastically lowered my overall body pains.
I have these in my pecs and abdomen and neck too much screen time plus getting older and sleep apnea so it’s been struggle to get quality sleep which prob heal them quicker these trigger points it’s like having a pebble in your shoe good to know about heat thanks for tip
Thanks for your comment! I can't tell you how many people I have treated with trigger points in the neck ever since work from home started. The terms "computer neck" and "smartphone neck" have been thrown around as the pain pattern is pretty much identical from person to person. Most important is to stretch daily and use soft tissue modalities to loosen up those tight muscles!
The muscles in my lower back get rock hard and hurt so much.😢 I have had 3 back surgeries (2 laminectomies, spinal fusion L4-L5 and S1 and a nerve decompression). 😫 My cervical and thoracic vertebrae deteriorating and I have more arthritis in l2-l3 and require fusion.😯 3 foot surgeries (bunionectomy on both feet, fusion of big toe, fusion of 3 metatarsals and removal of 3 plates an 15 screws as my body rejected the metal and hindered wound healing) and both knees have been replaced. I suffered peripheral neuropathy in hands and feet after receiving a flu vaccine. Lost the use of my hands for months however they have recovered (thank you Jesus) however my feet have not been so lucky. I have peripheral neuropathy with swelling, tingling, numbness, cramping and burning. It feels like someone is holding a torch to the bottom of my feet and rubbing the coarsest sand paper over the bottom of my feet. I have developed bone spurs/arthritis in my metatarsals on my lefy foot with arthritis in my 2nd and 3rd toe. I have all these things going on and was in a pain management program however my neurologist retired and I was taken off of oxycodone.😭😩 The oxycodone at least tamped down the pain and let me do a couple of things to help out around the house. I am no longer seen by my Rheumatologist because I don't have the right kind of arthritis - apparently osteoarthritis is no longer a valid condition.😱 I'm on gabapentin, duloxatine, ibuprofen and metaxalone for the muscle spasms. The pain gets so bad I end up sweating 😖 🥵 I use a rice bag, TENS unit, lidocaine patches to try to mitigate the pain however every single day is a living hell.😫 If I get 3 hours sleep a night I'm lucky, my feet get icy cold, cramp and burn and don't tolerate having anything on them. I've been through pain management classes, mastered belly breathing, meditation, journaling my feeling 🙄 I'm at my wits end and with trying to live and manage day to day. This is existing not living and its grueling, I don't know how much more I can take.
I take Naproxen for Osteoarthritis,my posture is very bad,and find the best thing for pain,too be heat but it comes quickly back,once your take the heat away! I've had and used a tens,but didn't get any relief from that.
I've been battling UK doctors for 8 years, I was told I had tendonitis for years then told there was nothing wrong with me and it was all in my head. I have now been told I have fibromyalgia but that doesn't explain all my symptoms! This is the closet thing I've found that describes the pain I have in my forearms. I get these marble sized lumps in my arms which are very tender when touched and send pains down my arms into my fingers. They ache like crazy aswell. What do you think??
Thanks for sharing your experience. I’m going to release a lecture I’m giving to other healthcare providers using many patient examples similar to yours. Stay tuned!
Never stretch! I don’t know why you say to do that as stretching only makes the knots tighter. Picture of rope with a knot in it. You pull either side and what happens? And that’s not what we want.
Fantastic immediate relief from hip pain with dry needling about 5 years ago. However, my insurance doesn't cover it and I cannot have the dry needling for current problems.
Yes! Exercise and physical therapy are one way to help treat myofascial trigger points. Just make sure you stretch the muscles you used after your workout
I have heard that this disease causes the lymph nodes in the neck to swell up. Is this true? I told my physical therapist about my pain, and they said it might be a lymph node problem. And researching led me to this disease which I have a dead ringer for all of the symptoms and causes.
Not to my knowledge, no, myofascial pain does not cause lymph node problems. Please check with your health care provider for advice if you have questions.
İ have myofacial pain since 8 months..And i m doing physical therapy as advice by my therapist. But i don't get any relief from pain..it got worsen at night and after nap even in day time. Can you suggest any other physical therapy to relieve pain Thank you. Shrijana from Nepal
Dr. Peng everything you are explaining in your videos are the things I have experienced for the past almost 4 years. Do you have any recommendations on doctors in Arizona?
So I have triggerpoints in the ql from a sitting job. I do side planks daily light ql stretches . Now I have a hot water bottle, a cupping set , a Lacrosse ball a tens machine and a massage gun . How to schedule everything. And how long should someone take iboprofen in this case
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
I just got confused regarding your explanation especially regarding heat application. Should be heat applied, or cool? I watched another explanation by other, we should use vapor coolant. So, which one is correct? (Edited: some bad grammars)
Thanks for your comment. There is a lot of debate over whether heat or ice is better. The most recent recommendations all suggest heat is likely better (for example, this is from the American College of Physicians: www.acpjournals.org/doi/10.7326/M16-2367). The reason for this is it helps relax muscles and improve blood flow. Ice causes more muscle stiffness and reduces blood flow which may be counterproductive in chronic pain. With that said, ice still serves an important role in the first few hours after an acute injury.
Great question. There is a theoretical risk of scar tissue if you are EXTREMELY aggressive. But I have not had any complications. If anything, patients feel SO much better after needling.
I use them all I call it my pain tool box, injured my neck and shoulder 7 years ago. I wish someone would have told me all these years later I would still be suffering! I have a tens, I do IMS M, my heating pad, cupping, physical therapy occupational therapy, I’ve tried dozens of medications, massage, stretches daily, physical therapy exercises given from my physical therapist. I use icy hot pads. Foam roller. I’ve been doing these things for years and have become completely hopeless……
Thanks for your comment and so sorry to hear about all your pain. Definitely check in with your health care provider about additional options for treatment. Trigger point injections may be an option for you to try (but technique really matters!). Best of luck
@@JeffreyPengMD I also do trigger point injections. I’m a patient at a pain clinic so it’s like a rotating door and we circle back every year or two and repeat all the treatments. 😞
in 6 minutes, you have explanaid much more and provided a lot more suggestions of treatments than my doctor could ever do, very good job!
Thanks for your comment! Glad you found the video useful
You have been the best source of information on my trigger points. All of the soft methods seem to help a bit. I try dry needling tomorrow. Very hopeful and excited.
How did dry needling go?
Good luck!!
Thank you for a thorough explanation! This explains the tight muscles in my neck, jaw, shoulders, and other areas of my body. I had myofascial release therapy for a few months (years ago), and it drastically lowered my overall body pains.
I'm grateful for your existence and knowledge.
Thank you for the video Dr. Peng. Very useful explanation. 🙏🏻
You're welcome! Thanks for your comment
Awesome Video! This has been bothering me for YEARS and now I know why! Thank you Dr. Peng! Definitely subscribed!
Thanks for commenting!
Do you know if whole body vibration plates have shown to be helpful?
Is it true that myofascial trigger points can go away for good? I’ve been told that they never fully go away.
I have these in my pecs and abdomen and neck too much screen time plus getting older and sleep apnea so it’s been struggle to get quality sleep which prob heal them quicker these trigger points it’s like having a pebble in your shoe good to know about heat thanks for tip
Thanks for your comment!
I can't tell you how many people I have treated with trigger points in the neck ever since work from home started. The terms "computer neck" and "smartphone neck" have been thrown around as the pain pattern is pretty much identical from person to person. Most important is to stretch daily and use soft tissue modalities to loosen up those tight muscles!
The muscles in my lower back get rock hard and hurt so much.😢 I have had 3 back surgeries (2 laminectomies, spinal fusion L4-L5 and S1 and a nerve decompression). 😫 My cervical and thoracic vertebrae deteriorating and I have more arthritis in l2-l3 and require fusion.😯 3 foot surgeries (bunionectomy on both feet, fusion of big toe, fusion of 3 metatarsals and removal of 3 plates an 15 screws as my body rejected the metal and hindered wound healing) and both knees have been replaced. I suffered peripheral neuropathy in hands and feet after receiving a flu vaccine. Lost the use of my hands for months however they have recovered (thank you Jesus) however my feet have not been so lucky. I have peripheral neuropathy with swelling, tingling, numbness, cramping and burning. It feels like someone is holding a torch to the bottom of my feet and rubbing the coarsest sand paper over the bottom of my feet. I have developed bone spurs/arthritis in my metatarsals on my lefy foot with arthritis in my 2nd and 3rd toe. I have all these things going on and was in a pain management program however my neurologist retired and I was taken off of oxycodone.😭😩 The oxycodone at least tamped down the pain and let me do a couple of things to help out around the house. I am no longer seen by my Rheumatologist because I don't have the right kind of arthritis - apparently osteoarthritis is no longer a valid condition.😱 I'm on gabapentin, duloxatine, ibuprofen and metaxalone for the muscle spasms. The pain gets so bad I end up sweating 😖 🥵 I use a rice bag, TENS unit, lidocaine patches to try to mitigate the pain however every single day is a living hell.😫 If I get 3 hours sleep a night I'm lucky, my feet get icy cold, cramp and burn and don't tolerate having anything on them. I've been through pain management classes, mastered belly breathing, meditation, journaling my feeling 🙄 I'm at my wits end and with trying to live and manage day to day. This is existing not living and its grueling, I don't know how much more I can take.
You have gone through so much, more than a lifetime of pain. I hope you and your doctors can work together to find relief.
@@Truerealism747 Hi Tom, what is TMS?
@@Truerealism747 Thank you for the recommendation, I will look into the information. I'm not hyper- mobile, why?
Very informative! Thank you.
Thank u so much for so useful video. May God bless u
I take Naproxen for Osteoarthritis,my posture is very bad,and find the best thing for pain,too be heat but it comes quickly back,once your take the heat away!
I've had and used a tens,but didn't get any relief from that.
many thanks
Currently on physical therapy because of mps 😢
How are you doing now?
How are you doing now after physical therapy for same. I have been suffering from same
I've been battling UK doctors for 8 years, I was told I had tendonitis for years then told there was nothing wrong with me and it was all in my head. I have now been told I have fibromyalgia but that doesn't explain all my symptoms! This is the closet thing I've found that describes the pain I have in my forearms. I get these marble sized lumps in my arms which are very tender when touched and send pains down my arms into my fingers. They ache like crazy aswell. What do you think??
Thanks for sharing your experience. I’m going to release a lecture I’m giving to other healthcare providers using many patient examples similar to yours. Stay tuned!
Hi Doctor do you have any videos on neck pinched nerve?
Hats off
Never stretch! I don’t know why you say to do that as stretching only makes the knots tighter. Picture of rope with a knot in it. You pull either side and what happens? And that’s not what we want.
Fantastic immediate relief from hip pain with dry needling about 5 years ago. However, my insurance doesn't cover it and I cannot have the dry needling for current problems.
Is it ok to continue our exercise routine during treatment? Lifting weights, HIIT training, etc.? Thank You :)
Yes! Exercise and physical therapy are one way to help treat myofascial trigger points. Just make sure you stretch the muscles you used after your workout
I have heard that this disease causes the lymph nodes in the neck to swell up.
Is this true?
I told my physical therapist about my pain, and they said it might be a lymph node problem.
And researching led me to this disease which I have a dead ringer for all of the symptoms and causes.
Not to my knowledge, no, myofascial pain does not cause lymph node problems. Please check with your health care provider for advice if you have questions.
Nice
Thanks for commenting!
İ have myofacial pain since 8 months..And i m doing physical therapy as advice by my therapist.
But i don't get any relief from pain..it got worsen at night and after nap even in day time.
Can you suggest any other physical therapy to relieve pain
Thank you.
Shrijana from Nepal
Thanks for your comment. Unfortunately I can't give medical advice over the internet. Please work with your health care providers to get better!
Dr. Peng everything you are explaining in your videos are the things I have experienced for the past almost 4 years. Do you have any recommendations on doctors in Arizona?
wow you are a gem thank you so mutch
Thanks!
It’s all fear, look out for videos about TMS. It’s not a physical problem.
So I have triggerpoints in the ql from a sitting job. I do side planks daily light ql stretches . Now I have a hot water bottle, a cupping set , a Lacrosse ball a tens machine and a massage gun . How to schedule everything. And how long should someone take iboprofen in this case
Is shock wave therapy good for triggers?
Does MPDs or TMPD syndrome causs tongue swelling or make your tongue bigger ???
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
Thanks for the video. Can you do a blood test to check the level of chemical imbalance?
Unfortunately, no. This chemical imbalance is on a local cellular level and would not be detected systemically.
What about lifting weight ?
Works well! th-cam.com/video/DLvTGuv3m3c/w-d-xo.html
I just got confused regarding your explanation especially regarding heat application. Should be heat applied, or cool? I watched another explanation by other, we should use vapor coolant. So, which one is correct? (Edited: some bad grammars)
Thanks for your comment. There is a lot of debate over whether heat or ice is better. The most recent recommendations all suggest heat is likely better (for example, this is from the American College of Physicians: www.acpjournals.org/doi/10.7326/M16-2367). The reason for this is it helps relax muscles and improve blood flow. Ice causes more muscle stiffness and reduces blood flow which may be counterproductive in chronic pain. With that said, ice still serves an important role in the first few hours after an acute injury.
@@JeffreyPengMD Thank you for your reply. But my experience, heat is not relieves the pain.
Definitely use what works best for you!
Brilliant. Thanks.
You're welcome!
Does dry needling cause scar tissue?
Great question. There is a theoretical risk of scar tissue if you are EXTREMELY aggressive. But I have not had any complications. If anything, patients feel SO much better after needling.
I use them all I call it my pain tool box, injured my neck and shoulder 7 years ago. I wish someone would have told me all these years later I would still be suffering! I have a tens, I do IMS M, my heating pad, cupping, physical therapy occupational therapy, I’ve tried dozens of medications, massage, stretches daily, physical therapy exercises given from my physical therapist. I use icy hot pads. Foam roller. I’ve been doing these things for years and have become completely hopeless……
Thanks for your comment and so sorry to hear about all your pain. Definitely check in with your health care provider about additional options for treatment. Trigger point injections may be an option for you to try (but technique really matters!). Best of luck
@@JeffreyPengMD I also do trigger point injections. I’m a patient at a pain clinic so it’s like a rotating door and we circle back every year or two and repeat all the treatments. 😞